Respira Medical And Wellness Center | |
Hospital Menonita De Humacao 300 Sector Cuesta Los Jobos Humacao PR 00791 | |
(939) 276-1574 | |
Not Available |
Full Name | Respira Medical And Wellness Center |
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Speciality | General Practice |
Location | Hospital Menonita De Humacao, Humacao, Puerto Rico |
Authorized Official Name and Position | Jivet Lee Morales Morales (PRESIDENT) |
Authorized Official Contact | 4079673427 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Respira Medical And Wellness Center Urb. Estancia De Juncos 112 Juncos PR 00777 Ph: (939) 276-1574 | Respira Medical And Wellness Center Hospital Menonita De Humacao 300 Sector Cuesta Los Jobos Humacao PR 00791 Ph: (939) 276-1574 |
NPI Number | 1649978693 |
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Provider Enumeration Date | 02/20/2023 |
Last Update Date | 02/22/2023 |
Medicare PECOS PAC ID | 7911362454 |
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Medicare Enrollment ID | O20230504003295 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649978693 | NPI | - | NPPES |
039388100 | Medicaid | PR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jivet Lee Morales |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1194390427 PECOS PAC ID: 8820453368 Enrollment ID: I20230505001444 |
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